Date Approved
9-26-2026
Graduate Degree Type
Dissertation
Degree Name
Nursing (D.N.P.)
Degree Program
Health Professions
First Advisor
Dr. Heather Chappell
Second Advisor
Dr. Karen Burrit
Academic Year
2025/2026
Abstract
Background: Human papillomavirus (HPV) vaccination prevents several types of cancer, yet vaccination rates remain below national goals.
Local Problem: An urban primary care clinic identified missed HPV vaccination opportunities associated with limited clinician counseling time, communication barriers, and inconsistent patient education.
Methods: The quality improvement initiative evaluated HPV vaccine administration among eligible patients 9 to 26-years-of-age following implementation of a standardized workflow.
Interventions: Medical assistants (MAs) received HPV education and used a brief pre-approved script, American Cancer Society handout, standing order set, and standardized documentation during rooming.
Results: A total of 60 eligible patients over an eight-week period qualified for the study. Of the 60 eligible patients 19 patients failed to show for their appointment, 41 received the MA-led education intervention, 7 deferred vaccination until the patient was older, and 7 declined all interventions. Staff reported increased patient or parent/guardian acceptance with the education process, workflow efficiency, and vaccine administration.
Conclusion: Integrating MA-led HPV education into routine workflow was feasible, well received, and supported vaccination.
ScholarWorks Citation
Gute, Lorilee A., "Medical Assistant Led Human Papillomavirus Education can Increase Vaccine Delivery" (2026). Doctoral Dissertations & Projects. 89.
https://scholarworks.gvsu.edu/dissertations/89
